RU2010149071A - COMBINED LAPAROSCOPIC AND ENDOSCOPIC SURGICAL METHOD FOR INTRODUCING WORKING TOOLS THROUGH A NATURAL HOLE - Google Patents

COMBINED LAPAROSCOPIC AND ENDOSCOPIC SURGICAL METHOD FOR INTRODUCING WORKING TOOLS THROUGH A NATURAL HOLE Download PDF

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Publication number
RU2010149071A
RU2010149071A RU2010149071/14A RU2010149071A RU2010149071A RU 2010149071 A RU2010149071 A RU 2010149071A RU 2010149071/14 A RU2010149071/14 A RU 2010149071/14A RU 2010149071 A RU2010149071 A RU 2010149071A RU 2010149071 A RU2010149071 A RU 2010149071A
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RU
Russia
Prior art keywords
medical instrument
stomach
cavity
working nozzle
distal end
Prior art date
Application number
RU2010149071/14A
Other languages
Russian (ru)
Inventor
Томас Э. АЛЬБРЕХТ (US)
Томас Э. АЛЬБРЕХТ
Original Assignee
Этикон Эндо-Серджери, Инк. (Us)
Этикон Эндо-Серджери, Инк.
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Application filed by Этикон Эндо-Серджери, Инк. (Us), Этикон Эндо-Серджери, Инк. filed Critical Этикон Эндо-Серджери, Инк. (Us)
Publication of RU2010149071A publication Critical patent/RU2010149071A/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

1. Способ проведения комбинированной лапароскопической и эндоскопической процедуры, включающий: ! лапароскопическое введение медицинского инструмента через брюшную стенку в полость желудка; ! трансоральное введение внешней трубки в полость желудка для обеспечения доступа к полости желудка; ! трансоральную доставку рабочей насадки к месту проведения операции через внешнюю трубку; ! закрепление рабочей насадки на дистальном конце медицинского инструмента во время нахождения медицинского инструмента в полости желудка. ! 2. Способ по п.1, в котором этап введения включает такое введение медицинского инструмента через брюшную стенку и стенку желудка, чтобы в полости желудка находилась лишь часть медицинского инструмента. ! 3. Способ по п.2, в котором этап введения включает подвод троакара к полости желудка для облегчения прохождения медицинского инструмента в полость желудка. ! 4. Способ по п.2, в котором этап доставки рабочей насадки включает фиксацию рабочей насадки на дистальном конце зажима и направление рабочей насадки к месту операции в полости желудка. ! 5. Способ по п.1, в котором медицинский инструмент включает вал, образованный из внутреннего цилиндра и наружного цилиндра, расположенных концентрически, причем стержень проходит вдоль оси через центр внутреннего и наружного цилиндров, и фиксирующий элемент прикреплен к дистальному концу внутреннего цилиндра. ! 6. Способ по п.5, в котором рабочая насадка включает корпус, выдающийся в проксимальном направлении от операционного элемента этой рабочей насадки, при этом корпус имеет боковой вырез, по форме и размерам соответствующий зацеплению фиксирующего э 1. A method for carrying out a combined laparoscopic and endoscopic procedure, including: ! laparoscopic insertion of a medical instrument through the abdominal wall into the stomach cavity; ! transoral insertion of an external tube into the stomach cavity to provide access to the stomach cavity; ! transoral delivery of the working nozzle to the site of the operation through the outer tube; ! fixing the working nozzle at the distal end of the medical instrument while the medical instrument is in the stomach cavity. ! 2. The method of claim 1, wherein the insertion step includes inserting the medical instrument through the abdominal wall and stomach wall such that only a portion of the medical instrument is in the stomach cavity. ! 3. The method according to claim 2, wherein the step of insertion includes bringing the trocar into the stomach cavity to facilitate passage of the medical instrument into the stomach cavity. ! 4. The method according to claim 2, wherein the step of delivering the working tip includes fixing the working tip at the distal end of the clamp and directing the working tip to the operation site in the stomach cavity. ! 5. The method according to claim 1, in which the medical instrument includes a shaft formed from an inner cylinder and an outer cylinder located concentrically, and the rod passes along the axis through the center of the inner and outer cylinders, and the locking element is attached to the distal end of the inner cylinder. ! 6. The method according to claim 5, in which the working nozzle includes a body protruding in the proximal direction from the operating element of this working nozzle, while the body has a side cut, in shape and size corresponding to the engagement of the locking e

Claims (9)

1. Способ проведения комбинированной лапароскопической и эндоскопической процедуры, включающий:1. A method of conducting a combined laparoscopic and endoscopic procedure, including: лапароскопическое введение медицинского инструмента через брюшную стенку в полость желудка;laparoscopic insertion of a medical instrument through the abdominal wall into the cavity of the stomach; трансоральное введение внешней трубки в полость желудка для обеспечения доступа к полости желудка;transoral introduction of the external tube into the cavity of the stomach to provide access to the cavity of the stomach; трансоральную доставку рабочей насадки к месту проведения операции через внешнюю трубку;transoral delivery of the working nozzle to the place of operation through an external tube; закрепление рабочей насадки на дистальном конце медицинского инструмента во время нахождения медицинского инструмента в полости желудка.fixing the working nozzle at the distal end of the medical instrument while the medical instrument is in the stomach cavity. 2. Способ по п.1, в котором этап введения включает такое введение медицинского инструмента через брюшную стенку и стенку желудка, чтобы в полости желудка находилась лишь часть медицинского инструмента.2. The method according to claim 1, in which the introduction phase includes the introduction of a medical instrument through the abdominal wall and the wall of the stomach, so that only part of the medical instrument is in the cavity of the stomach. 3. Способ по п.2, в котором этап введения включает подвод троакара к полости желудка для облегчения прохождения медицинского инструмента в полость желудка.3. The method according to claim 2, in which the introduction phase includes the supply of a trocar to the stomach cavity to facilitate the passage of the medical instrument into the cavity of the stomach. 4. Способ по п.2, в котором этап доставки рабочей насадки включает фиксацию рабочей насадки на дистальном конце зажима и направление рабочей насадки к месту операции в полости желудка.4. The method according to claim 2, in which the stage of delivery of the working nozzle includes fixing the working nozzle at the distal end of the clamp and the direction of the working nozzle to the operation site in the stomach cavity. 5. Способ по п.1, в котором медицинский инструмент включает вал, образованный из внутреннего цилиндра и наружного цилиндра, расположенных концентрически, причем стержень проходит вдоль оси через центр внутреннего и наружного цилиндров, и фиксирующий элемент прикреплен к дистальному концу внутреннего цилиндра.5. The method according to claim 1, in which the medical instrument includes a shaft formed of an inner cylinder and an outer cylinder arranged concentrically, the rod extending along the axis through the center of the inner and outer cylinders, and a locking element attached to the distal end of the inner cylinder. 6. Способ по п.5, в котором рабочая насадка включает корпус, выдающийся в проксимальном направлении от операционного элемента этой рабочей насадки, при этом корпус имеет боковой вырез, по форме и размерам соответствующий зацеплению фиксирующего элемента на внутреннем цилиндре вала медицинского инструмента.6. The method according to claim 5, in which the working nozzle includes a housing protruding in the proximal direction from the operating element of this working nozzle, while the body has a side cutout in shape and size corresponding to the engagement of the locking element on the inner cylinder of the shaft of the medical instrument. 7. Способ по п.6, в котором в операционном элементе рабочей насадки предусмотрена выемка, которая контактирует с приводным механизмом на дистальном конце стержня при присоединении медицинского инструмента к рабочей насадке.7. The method according to claim 6, in which a recess is provided in the operating element of the working nozzle, which contacts the drive mechanism at the distal end of the rod when the medical instrument is connected to the working nozzle. 8. Способ по п.1, в котором этап введения включает подвод троакара к брюшной полости для облегчения прохождения медицинского инструмента в брюшную полость.8. The method according to claim 1, in which the introduction phase includes the supply of a trocar to the abdominal cavity to facilitate the passage of a medical instrument into the abdominal cavity. 9. Способ по п.1, в котором этап доставки рабочей насадки включает фиксацию рабочей насадки на дистальном конце зажима и направление рабочей насадки к месту операции в брюшной полости. 9. The method according to claim 1, in which the stage of delivery of the working nozzle includes fixing the working nozzle at the distal end of the clamp and the direction of the working nozzle to the place of operation in the abdominal cavity.
RU2010149071/14A 2008-05-01 2009-04-30 COMBINED LAPAROSCOPIC AND ENDOSCOPIC SURGICAL METHOD FOR INTRODUCING WORKING TOOLS THROUGH A NATURAL HOLE RU2010149071A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/113,735 US8097000B2 (en) 2008-05-01 2008-05-01 Hybrid laparoscopic-endoscopic surgical technique for delivering end effectors through a natural orifice
US12/113,735 2008-05-01

Publications (1)

Publication Number Publication Date
RU2010149071A true RU2010149071A (en) 2012-06-10

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Country Status (7)

Country Link
US (1) US8097000B2 (en)
JP (1) JP2011519615A (en)
CN (1) CN102046093A (en)
BR (1) BRPI0911856A2 (en)
CA (1) CA2722893A1 (en)
RU (1) RU2010149071A (en)
WO (1) WO2009134985A2 (en)

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CA2876807C (en) * 2009-05-18 2016-07-12 Teleflex Medical Incorporated Method and devices for performing minimally invasive surgery
US9138207B2 (en) 2009-05-19 2015-09-22 Teleflex Medical Incorporated Methods and devices for laparoscopic surgery
EP2525720A1 (en) 2010-01-20 2012-11-28 EON Surgical Ltd. System of deploying an elongate unit in a body cavity
US8721539B2 (en) 2010-01-20 2014-05-13 EON Surgical Ltd. Rapid laparoscopy exchange system and method of use thereof
WO2012035524A2 (en) 2010-09-19 2012-03-22 EON Surgical Ltd. Micro laparoscopy devices and deployments thereof
WO2012142442A2 (en) 2011-04-13 2012-10-18 University Of South Florida Small diameter laparoscopic tool having releasable tip
US9833350B2 (en) 2013-03-15 2017-12-05 Ez-Off Weightloss, Llc Anchorable size-varying gastric balloons for weight loss
WO2014145799A1 (en) 2013-03-15 2014-09-18 Ez Off Weightloss, Llc System and method for gastric restriction and malabsorption
US10219799B2 (en) 2013-08-05 2019-03-05 Endo-Tagss, Llc Transabdominal gastric device and method
CA2919658A1 (en) 2013-08-05 2015-02-12 Mary PATTISON Transabdominal gastric surgery system and method
WO2016085502A1 (en) * 2014-11-26 2016-06-02 Endo-Tagss, Llc Transabdominal gastric device and method
WO2018067690A1 (en) 2016-10-04 2018-04-12 Ez-Off Weight Loss, Llc Sleeve-anchorable gastric balloon for weight loss

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US4134405A (en) * 1977-01-10 1979-01-16 Smit Julie A Catheter and intestine tube and method of using the same
US5817111A (en) * 1996-03-28 1998-10-06 Riza; Erol D. Open loop suture snare
US7803137B2 (en) * 2006-03-22 2010-09-28 Ethicon Endo-Surgery, Inc. Intubation system for use with an endoscope

Also Published As

Publication number Publication date
US20090275797A1 (en) 2009-11-05
CA2722893A1 (en) 2009-11-05
JP2011519615A (en) 2011-07-14
WO2009134985A2 (en) 2009-11-05
BRPI0911856A2 (en) 2015-10-06
US8097000B2 (en) 2012-01-17
CN102046093A (en) 2011-05-04

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